Picking up pancreatic cancer

Even when a patient has atypical symptoms on presentation

Joseph is 59-year-old accountant who presents with constipation and a mildly reduced appetite.


He discloses a six-month history of progressive constipation and has been self-managing by using a stool softener and laxatives.

He believes his constipation is due to a hectic work schedule meaning he has a daily takeaway with very limited fresh vegetable intake.

The laxatives do help initially, but later he reports having severe constipation requiring over-the-counter fleet enemas.

Joseph requests a more